NPIMap

Organization Active NPI

Kairos

  • Counselor
  • Grants Pass, OR
National Provider Identifier
1205340098
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Legal business name
KAIROS
Practice address
711 SW Ramsey Ave
Grants Pass, OR 97527-5500
Phone
(541) 474-5579
NPI assigned
Dec 1, 2017
Last updated
Mar 17, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Kelly Stark
Title
Skills Coach
Phone
(541) 226-2880

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X Primary

Addresses

Primary practice location

711 SW Ramsey Ave
Grants Pass, OR 97527-5500

Mailing address

715 SW Ramsey Ave
Grants Pass, OR 97527-5500
Phone (541) 956-4943

Other practice location 1

715 SW Ramsey Ave
Grants Pass, OR 97527-5500
Phone (541) 474-5579 ext. 1111

National Provider Directory

National Provider Directory

Locations

711 SW Ramsey Ave
Grants Pass, OR 97527
Phone (541) 479-5901

Practitioners & affiliated clinicians

Practitioners 25

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 25

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1512086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1205340098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 SW RAMSEY AVE",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975275500",
            "telephone_number": "541-956-4943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 SW RAMSEY AVE",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975275500",
            "telephone_number": "541-474-5579"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "715 SW Ramsey Ave",
            "address_purpose": "LOCATION",
            "city": "Grants Pass",
            "state": "OR",
            "postal_code": "975275500",
            "country_code": "US",
            "telephone_number": "541-474-5579 x1111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KAIROS",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-01",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "STARK",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "SKILLS COACH",
        "authorized_official_telephone_number": "541-226-2880"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grants Pass, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.